Individual provider Active NPI

Xavier Eddin Zeno, MD

  • General Practice Physician
  • Quebradillas, PR
National Provider Identifier
1518521269
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
21754 Issued in PR
Practice address
96 Calle Jose Linares
Quebradillas, PR 00678
Phone
(787) 895-4010
Fax
(787) 291-7238
NPI assigned
Apr 29, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 21754 PR Primary

Addresses

Primary practice location

96 Calle Jose Linares
Quebradillas, PR 00678

Mailing address

PO Box 1296
Quebradillas, PR 00678-1296
Phone (787) 895-4010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200824002959 PR Practitioner - General Practice 8628495561 Practice locations: Quebradillas, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Calle Jose Linares
Suite 96
Quebradillas, PR 00678-1296
Phone (787) 425-7562

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1518521269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1296",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "006781296",
            "telephone_number": "787-895-4010",
            "fax_number": "787-291-7238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 CALLE JOSE LINARES",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "00678",
            "telephone_number": "787-895-4010",
            "fax_number": "787-291-7238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZENO",
        "first_name": "XAVIER",
        "middle_name": "EDDIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-29",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "PR",
            "license": "21754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quebradillas, PR

Sources for this page

Verify at the official NPI Registry.